Theodore Raymond Pacheco M.D.

NPI 1023097201 - Internal Medicine - 207RC0000X

NPI Details
NPI 1023097201
Gender Male
Enumeration Date 01/16/2006
Last Updated 08/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3600 KOLBE RD
SUITE 127
LORAIN OH, 44053-1654, US
Phone (440) 414-9200
Fax (440) 282-7579
Business Location
3600 KOLBE RD
SUITE 127
LORAIN OH, 44053-1654, US
Phone (440) 414-9200
Fax (440) 282-7579
Toxanomy
Taxonomy Code 207RC0000X
License State Ohio
License Number 35065306
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According to our database, Dr. Theodore Raymond Pacheco M.D. NPI is 1023097201, taxonomy code is 207RC0000X and license number is 35065306, license state is located at Ohio. Theodore Raymond Pacheco M.D. physically located at 3600 Kolbe Rd, Lorain OH, 44053-1654. NPI Number Theodore Raymond Pacheco M.D. has the Individual type.

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1023097201 NPI number is provided on an as is basis without warranty of any kind. 1023097201 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Raymond Pacheco M.D. are for informational purposes only.